Active NPI
Stephanie Pasley, NP
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 235816
- Practice address
- 4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238 - Phone
- (602) 971-0268
- Fax
- (602) 971-1556
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209014685 | IL | |
| Nurse Practitioner | 363L00000X | 235816 | AZ | Primary |
Addresses
Primary practice location
4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238
Mailing address
4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238
Phone (602) 971-0268
Other practice location 1
715 S Beeline Hwy
Payson, AZ 85541-5320
Phone (928) 468-6607
Other practice location 2
313 S Beeline Hwy
Payson, AZ 85541-4814
Phone (928) 472-7107
Other names 1
- Stephanie Goodwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
313 S Beeline Hwy
Payson, AZ 85541-4814
Phone (928) 472-7107
Hospital & facility affiliations
- Banner Payson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235816 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Dermatology & Mohs Center, PC | Current | Accepting new patients | |
| Spectrum Dermatology, PLLC | Current | Accepting new patients | |
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients | |
| Mark a Meyers | Past | Accepting new patients |
Locations
2394 N Alma School Rd
Chandler, AZ 85224
Phone (480) 735-2118
5651 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (480) 889-2654
313 S Beeline Hwy
Payson, AZ 85541
Phone (928) 472-7107
715 S Beeline Hwy
Ste A
Payson, AZ 85541
Phone (928) 468-6607
715 S Beeline Hwy
Payson, AZ 85541
Phone (928) 468-6607
20950 N Tatum Blvd
Ste 250
Phoenix, AZ 85050
Phone (480) 607-0060
4045 E Bell Rd
Ste 125
Phoenix, AZ 85032
Phone (602) 493-3677
9500 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 565-1132
13640 N 99th Ave
Ste 300
Sun City, AZ 85351
Phone (623) 875-2600
14418 W Meeker Blvd
Ste 106
Sun City West, AZ 85375
Phone (623) 544-8400
Interoperability endpoints
- spasley@alliancederm.emadirect.md
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Phoenix, AZ
- NPI 1861813156
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1922392398
-
- Non-Pharmacy Dispensing Site
- Lake Havasu City, AZ
- NPI 1245864016
-
- Specialist
- Payson, AZ
- NPI 1790246924
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1881149219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E BELL RD STE 125",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322238",
"telephone_number": "602-971-0268",
"fax_number": "602-971-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E BELL RD STE 125",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322238",
"telephone_number": "602-971-0268",
"fax_number": "602-971-1556"
}
],
"practiceLocations": [
{
"address_1": "715 S Beeline Hwy",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415320",
"country_code": "US",
"telephone_number": "928-468-6607",
"fax_number": "928-468-6658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "313 S Beeline Hwy",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855414814",
"country_code": "US",
"telephone_number": "928-472-7107",
"fax_number": "928-472-6025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASLEY",
"first_name": "STEPHANIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2023-10-30",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209014685",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "235816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "GOODWIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.